Request for Duty Switch

Resident Assistant

RA Requesting Switch:
Scheduled Duty Date:
The RA requesting the switch is responsible for identifying another Resident
Assistant to switch duty with.

RA Switching Shift:
Switched Duty Date:
(Covering Resident Assistant is responsible for all the normal and extenuating duties associated with the
Resident Assistant position for the duration of times indicated above.)

Resident Assistant: Date:

(Requester Signature)

Resident Assistant: Date:

(Switcher Signature)

Approved by RC: Date: _____________

(Signature)

S:\Residence Life\Forms\RA Shift Change Form.docx